**All the benefits and perks you need for you and your family:**

Benefits from Day One

Paid Days Off from Day One

Student Loan Repayment Program

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Pet Insurance*

Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

**Our promise to you:**

Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.

**Schedule:** Full-Time

**Shift** : Day Monday-Friday

**Location:** Advent Health Orlando

**The role youll contribute:**

The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the

interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care

escalations. The RN Care Manager is under the general supervision of the Care Managment Supervisor or Manager or

Director of Nursing and is responsible for patient evaluations of post-hospital needs; development of a transition of care

plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The RN

Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe

transitions, patient satisfaction, patient safety, readmission prevention and length of stay management. The RN Care

Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination,

discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role.

The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to

remove barriers to timely and efficient care delivery and reimbursement. The RN Care Manager provides education to

nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. The RN Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based Organizations. The RN Care Manager adheres to departmental and system goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

**The value youll bring to the team:**

Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admissionand documents according to policies and procedures. Interviews patient and involved care givers (as permitted by thepatient) as well as a review of the current and past inpatient and outpatient medical record in the Initial Evaluation.

Reviews necessary patient information including labs, medications (Pre and post hospital), History and Physical, Therapy notes, ED notes, test results and progress notes.

Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning andcommunicates these goals and preferences to the multidisciplinary team.

Incorporate clinical, social and financial factors into the transition of care plan.

Meets with patient/families to discuss realistic and appropriate discharge options and providers of post-hospital care.

Incorporates social determinants of health into transitions of care planning and applies risk mitigation interventions tomeet the individual needs of each patient

Identifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievement.

**The expertise and experiences youll need to succeed:**

**Minimum qualifications:**

Associate of Science degree in Nursing (ASN)

Current valid license as a Registered Nurse in the state of Florida

Two (2) years of medical/hospital nursing experience

**Preferred qualifications:**

Bachelor of Science degree in Nursing (BSN)

Health-related Master's degree or MSN

Prior Care Management/Utilization Management experience

ACM/CCM Certification

Knowledge of community resources and post-acute care programs across the continuum

Knowledge of clinical and social factors that affect the patient's functional status at discharge

Knowledge of CMS Conditions of Participation for Discharge Planning

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

**Category:** Case Management

**Organization:** AdventHealth Orlando

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 24017831

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.